Medical Accounts Receivable
4 weeks ago
POSITION SUMMARY
Primarily responsible for effective collection on patient accounts, accounts receivable follow up, and reimbursement analysis.
ESSENTIAL SKILLS AND EXPERIENCE
Two (2) year college degree preferred AND greater than (3) years experience in a medical accounts receivable roles such as:
Accounts Receivable Representative
Patient Collections
High school diploma or GED from an accredited institution
Working knowledge of medical, accounts receivable, collections, rejects, denials, appeals, and research billing guidelines and policies
Demonstrated knowledge of CPT, CDT, ICD-9/ICD-10, HCPCS, and ADA
Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and comparisons, and review of claims for correct payment
Fluency in a language in addition to English (Spanish preferred
The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.
POSITION REPONSIBILITIES/ESSENTIAL
Review outstanding claims to determine what action needs to take place and make status calls to insurance companies
Request claims to be reprocessed where necessary or prepare and submit corrected claims to the insurance companies for payment
Review delinquent accounts and initiate appropriate collection action including telephone calls and correspondence to patients
Answer patient calls relating to questions about their bills
Update demographic and payer related information obtained from the patient
May correct errors including misapplied payments/adjustments and applying account credits
Prepare refund requests for management approval
Responsible for the generation and mailing of claims
Work payer rejects and denials
Support and train site checkout staff
Support management on special projects
Maintain a high level of customer satisfaction as reflected on patient satisfaction surveys and other measurement tools
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